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Remote Senior Pharmacy Claims Audit Lead

Remote / Online - Candidates ideally in
West Linn, Clackamas County, Oregon, 97068, USA
Listing for: Prime Therapeutics
Remote/Work from Home position
Listed on 2026-09-08
Job specializations:
  • Healthcare
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 59000 - 94000 USD Yearly USD 59000.00 94000.00 YEAR
Job Description & How to Apply Below

Prime Therapeutics is seeking a Senior Pharmacy Claims Auditor to lead audit education, tools, analytics and training, ensuring compliant reimbursements and reducing waste. The role collaborates with cross-functional teams, analyzes claim data, supports audit initiatives, and serves as SME for system enhancements.

The position offers a remote work arrangement with an Oregon location preference, and requires a Bachelor’s in Health Science or related field, 5 years in pharmacy/PBM, and PTCB/ExCPT

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Position Requirements
10+ Years work experience
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